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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 22,5 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> of a registered builder, - ................................................... <br /> The work will be performed by a registered builder. <br /> Other_ <br /> <br />°wN~' 'FREJO~ ROBERT <br /> <br /> ~AMUFACTURED STRUCTURE <br /> <br /> HILL C~EEK ESTATES <br /> <br /> SITE HUMBER~ <br /> PNONE: 58:[,-[ ~7 V~LUATZON: <br /> <br /> TYPE: ~ANUFACTURED ~TRUCTURE PERMIT OR ~PPLICATIOH NO: <br /> CONTRACTOR~ NO. 1487& <br /> Wes'~er~ L3, v~lg HoMes <br /> 48~5 Pot'S;land Rd NE <br /> <br /> PHONE: 393-7353 <br /> <br /> ITEH QUANTITY AHOUNT <br /> HANUFACTURED STRUCTURE PLAGEMENT/CONNECTION $182,, <br /> MANUFACTURED STRUCTURE STATE FEE <br /> HANUFACTURED STRUCTURE STATE SURCHARGE <br /> <br /> TOTAL ASSESSED FEES $211.10 <br /> PREVIOUS RECEIPTS $0,80 <br /> THIS RECEIPT $211.10 <br /> <br /> DuE,: - - $o, eo <br />PAYEE: De:[ McCormick INVOICE 5~2~7 <br />RECEIVED BY: PM TYPE: IN CHECK 8: 0 <br /> <br />FOLLOWIM~ MUST BE COMPLETED~ 'IT iS"TRE, RES~DHSIBILI~Y.'flF THE APPLICAHT TO ASSURE <br />THAT ALL NECESSARY iNFORMATION HA~,'BEEN, PRO¥~gED. <br /> <br />PLANNING ACT tON: <br /> <br /> ZONINg. BY '~[ ......... ~ATE ......... <br /> <br /> CITY JURISDICTION: BY DATE ............ <br /> EEMARK~: NS~ CARPORT <br /> <br />SETBACKS: FR 10 <br /> LS""10 <br /> RS--15 <br /> RR--18 <br /> SF'"Z ........ <br /> <br />~o.~. u~ ~s-s. ~v, .~l~ OFFICE COPY <br /> <br /> <br />